203.69 - Application – short form

30 CFR Part 203, Relief or Reduction in Royalty Rates

OMB: 1014-0005

IC ID: 232630

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203.69 - Application – short form 1014-0005 '21
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
30 CFR 203.69

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Energy Energy Resource Management

 

1 1
   
Private Sector Businesses or other for-profits
 
   60 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1 0 0 0 0 1
Annual IC Time Burden (Hours) 4 0 0 0 0 4
Annual IC Cost Burden (Dollars) 100 0 0 0 0 100

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